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Temporal Trends in Self-Reported Functional Limitations and Physical Disability Among the Community-Dwelling Elderly Population

The Framingham Heart Study

Bibliographic Data

ID11037846
AuthorsJoanne M Murabito (0000-0002-0192-7516, Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...), Michael J Pencina (Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...), Michael Pencina (0000-0002-1968-2641, Framingham Heart Study), Lei Zhu (0000-0003-1237-2920, Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...), Margaret Kelly-Hayes (Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...), Margaret Kelly‐Hayes (Framingham Heart Study), Peter Shrader (Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...), Ralph B D’agostino (0000-0002-3550-8395, Joanne M. Murabito, Michael J. Pencina, Margaret Kelly-Hayes, and Ralph B. D’Agostino Sr are with the National Heart, Lung, and Blood Institute’s Framingham Heart Study, Framingham, MA. Joanne M. Murabito is with the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Margaret Kelly-Hayes is with the Department of Neurology, Boston University School of Medicine, Boston. Michael J. Pencina, Lei Zhu, Peter Shrader, and Ralph B. D’Agostino Sr are...)
Year2008
Volume98
Issue7
Pages1256-1262
Publication date2008-07-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.128132
PMID18511716
PMCIDPMC2424084
OpenAlexW2039911341
LanguageEN
Citations received7
References cited34

Objectives. We sought to determine change in the prevalence of functional limitations and physical disability among the community-dwelling elderly population across 3 decades. Methods. We studied original participants of the Framingham Heart Study, aged 79 to 88 years, at examination 15 (1977–1979; 177 women, 103 men), examination 20 (1988–1990; 159 women, 98 men) and examination 25 (1997–1999; 174 women, 119 men). Self-reported functional limitation was defined using the Nagi scale, and physical disability was defined using the Rosow-Breslau and Katz scales. Results. Functional limitations declined across examinations from 74.6% to 60.5% to 37.9% (P Conclusions. Among community-dwelling elders, the prevalence of functional limitations and physical disability declined significantly in both women and men from the 1970s to the 1990s. This may in part be due to improvements in technological devices used to maintain independence. Further work is needed to identify the underlining causes of the decline so preventative measures can be established that promote independence for the elderly population

Disease · Environmental health · Framingham Heart Study · Framingham Risk Score · Physical disability · Physical examination · Physical therapy · Population · Demography · Frailty in Older Adults · Health disparities and outcomes · Internal Medicine · Medicine · Technology Use by Older Adults · Gerontology

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Citations per year0.41
Citation span2009 - 2019 (11)
Highly citedNo

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